St. Luke's Physician Group, INC

NPI #1851698468 in Coaldale, Pennsylvania

Provider Information

NPI Number
1851698468
Entity Type
Organization
Organization Name
St. Luke's Physician Group, INC
Primary Specialty
Internal Medicine
Enumeration Date
Feb 16, 2011
Last Updated
Feb 16, 2011

Practice Location

Address
360 W RUDDLE ST
Address 2
SUITE 800
ZIP Code
18218-1027
Phone
(570) 645-1499

Authorized Official

Name
DEAN W EVANS
Title
PRESIDENT
Phone
(610) 954-4911

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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